Boucher, Alan Jacob

Boucher, Alan Jacob is an individual health care provider with primary practice located at 140 Colemans Xing , Marysville OH 43040-7080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Boucher, Alan Jacob can be contacted via phone (937) 578-7950.

Contact Information

Primary practice address
140 Colemans Xing Marysville OH 43040-7080
Phone: (937) 578-7950
Fax: (937) 578-7955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 129213 Ohio

Profile Details

NPI number 1477998052
LBN Legal business name Boucher, Alan Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2013
Last updated Feb 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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